Outcome Measures (Classification Scales) Flashcards
1
Q
Dizziness Handicap Inventory
A
- Measures patients self perceived handicap as a result of vestibular disorder (dizziness, vertigo, unsteadiness)
- 25 questions with three categories (functional, emotional, physical)
- Mild handicap (16-34pts), moderate handicap (36-52pts), and severe handicap (54+pts)
- Excellent reliability
2
Q
Dynamic Gait Index
A
- Evaluates high level gait by examining patients ability to perform variations in walking on command
- Tests ability to perform walking balance while responding to different task demands through various dynamic conditions
- Tests individuals with vestibular, balance, or fall problems
- 8 items (walking on level surface, changing speeds, head turns, walking and turning 180 degrees, stepping over and around obstacles, and stairs)
- Each item scored on 0-3 (normal is 3 and severe impairment is 0)
- BEST possible score on DGI is 24
3
Q
Berg Balance Test
A
- Measures static and dynamic balance
- Predicts falls in elderly and evaluates changes in patients (also used with stroke patients)
- Items (sit to stand, standing unsupported, sitting unsupported, stand to sit, transfers, standing with EC, standing with feet together, reach forward with outstretched arm, retrieve object from floor, turning 360 degrees, placing alternate foot on stool, standing with one foot in front, and standing on one foot)
- Score of 56 = functional balance
- Score of <45 = greater risk for falls
- Score of <49 = risk of falls in individuals with stroke
4
Q
SF-36 Health Survey
A
- Generalized questionnaire with health related questions pertaining to health status and general functioning
- Covers domains of health (limits in physical activities, limits in social activities, limits in usual role activities, bodily pain, general mental health, vitality (energy and fatigue), and general health perceptions
5
Q
Barthel Index Overview
A
- Measures patient’s ability to complete ADLs
- Covers bathing, feeding, grooming, dressing, bowel/bladder, toilet use, transfers bed to chair and back, mobility on level surfaces, and stairs
6
Q
Barthel Index Scoring
A
- Higher the score = more independent the patient
- 0-20 = total dependency
- 21-60 = severe dependency
- 61-90 = moderate dependency
- 91-99 = slight dependency
7
Q
Fugl-Meyer Assessment Overview
A
- Assessment for motor recovery after stroke
- Covers motor functioning, balance, sensation, and joint ROM, and joint pain in patients with post-stroke hemiplegia
8
Q
Fugl-Meyer Assessment Scoring
A
- Each item scored 0-2 (0 = cannot perform and 2 = performs fully)
- Total possible score is 226
- <50 = severe
- 56-70 = moderate
- > 79 = mild
- Hemiplegia = more than or equal to 84
- Hemiparesis = 85-95
9
Q
Timed Up and Go Overview
A
- Simple, quick, and widely used test that measures patients mobility, balance, walking, and risk of falls
10
Q
Timed Up and Go Instructions
A
- Patient sits in chair, marker goes on floor 3 meters away, patient stands and walks to marker, turns around, and walks back to chair to sit down
- Start timing when patient says go and stop timing when they sit back in chair
- Patient can use any AD they normally use but cannot be assisted by another person
- Patient can stop and rest if needed, but they cannot sit down
11
Q
Timed Up and Go Scoring
A
- Score of 20 seconds or more indicates poor performance
- Healthy, elderly person can ususally complete test in 10 seconds or less, while someone who is very weak or frail may take two minutes or more
12
Q
Outcome and Information Assessment Set (OASIS)
A
- Collection of standardized data elements that home health agencies use to assess and report on patients
- Measures patient outcomes to improve home health care
- Collected by providers of home care services that are funded by medicare
- PTs must be able to choose the appropriate outcome measure based on the situation to efficiently examine the patient
